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The Helen Jerwood Preparatory School

Queen Mary's School, Tis Hazari, Delhi-11054

(A Christian minority institution under the management of the Helen Jerwood Memorial Education Society of the Diocese of Delhi, Church of North India)

Registration Form For Pre School (Academic Session 2023-24)

Registration No.

THJP-2023-0

47

Submission Date

9 December 2022

About the child

Name of the Child

JASU

Date of Bith

May 31, 2019

Nationality

Indian

JASU
JASU

Religion

Mother Tongue

Hindu

Hindi

Any Special Need

Residential Address

Distance from School

Within 5 Km

House number 12/5065, 2nd floor Chaman Ganj, Roshanara road

About the Parents

Name

Occupation/Profession

Organization Name

Organization Address

Air force station Baghdogra

Father's

Mr. Jitendra Kumar

Service man

Indian Air force

Mother's

Sheetal nagar

Housewife

Phone No.

9601087783

E-Mail :

Area In which they can contribute

Any Other

Sibling

Yes

Name

Ziva

Class

2nd E

Admission No.

13535

Christian Candidate

Alumni

Single Parent

No

No

Name and Address of Church

CBSE Roll No

Passing Year

No

Declaration From Parent

Total Points

40

I hereby certify that the above information provided by me/us is correct and I/we understand that if the information is found to be incorrect or false, my ward shall be automatically debarred from selection/admission process without any correspondence in this regard. If admitted, her admission will stand cancelled. I/we also understand that the application/ registration/ shortlisting does not guarantee admission to my ward. I/we accept the process of admission undertaken by the school and I/we will abide by the decision taken by the school authorities.

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